<div class="pageContent">

	<form method="post" action="__URL__/insert/navTabId/__MODULE__?callbackType=closeCurrent" class="pageForm required-validate" enctype="multipart/form-data" onsubmit="return iframeCallback(this, dialogAjaxMenu)">
		<input type="hidden" name="postid" value="<?php echo $_SESSION[C('USER_AUTH_KEY')] ?>"/>
		<input type="hidden" name="postname" value={$Think.session.loginUserName}>
		<input type="hidden" name="postcity" value={$Think.session.city}>
		<input type="hidden" name="posunitname" value={$Think.session.unitname}>
        <input type="hidden" name="postrole" value={$Think.session.role_id}>
		<input type="hidden" name="level" value="{$level}">
		<input type="hidden" name="pid" value="{$pid}">
		<div class="pageFormContent" layoutH="58">
			<div class="unit">
				<label>单号：</label>
				<input type="text" class="required alphanumeric"  name="number">
			</div>
			
			<div class="unit">
				<label>收件人详细信息：<br>(请填写收件人姓名、电话、地址及问题详细描述，不超过400字)</label>
                <textarea name="address" class="required" cols="100" rows="4"></textarea>
			</div>
            <div class="unit">
                <label>物品：</label>
                <input type="text" class="required"  name="type"><P>(填写详细可以提高处理速度)</P>
            </div>
			<div class="unit">
				<label>原因：</label>
				<SELECT name="reason">
                    <volist name="reason_list" id="list" key="k">
                        <option value="{$k}" >{$list}</option>
                    </volist>
				</SELECT><P>(填写以提高处理速度)</P>
			</div>
            <div class="unit">
                <label>与我联系电话号码：</label>
                <input type="text" class="required phone"  name="tel"><P>(方便联系)</P>
            </div>
			<div class="unit">
				<label>图片上传（限制2M，超过出错）：</label>
				<input type="file"  name="pic" accept="image/*"  >
			</div>
            <div class="unit">
                <label>与我联系QQ：</label>
                <input type="text"  name="qqnum"><P>(方便联系)</P>
            </div>
            <if condition="$Think.session.role_id Gt 1">
            <div class="unit">
                <label>邮寄客户名称：</label>
                <input type="text" class="required"  name="postclientname"><P>(帮助客户填写工单时需要)</P>
            </div>
                <else/>
            </if>
			<div class="unit">
				<label>备注（不超过120字）：</label>
				<TEXTAREA name="remark"  rows="2" cols="100"></textarea>
			</div>
		</div>
		
		<div class="formBar">
			<ul>
				<li><div class="buttonActive"><div class="buttonContent"><button type="submit">新增保存</button></div></div></li>
				<li><div class="button"><div class="buttonContent"><button type="button" class="close">取消</button></div></div></li>
			</ul>
		</div>
	</form>

</div>

